Guidelines on GLP1RAs and Glucose Monitors

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Guidelines on GLP1RAs and Glucose Monitors
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Irl B. Hirsch, MD, reviews new guidelines for glucose monitors and inhibitors.

of 8.0%, those randomized to tirzepatide at 5 mg, 10 mg, and 15 mg had HbA1c reductions of 1.87%, 1.89%, and 2.07% respectively.For the 5-mg, 10-mg, and 15-mg doses, weight change from baseline was 7.9%, 9.3%, and 11.0% respectively. Like older GLP1RAs, gastrointestinal side effects were the main problem. For the three doses, 3%, 5%, and 7%, respectively, had to stop the drug, compared with the 3% who stopped taking the placebo.

in both type 1 and type 2 diabetes. The most important change to the 2022 American Diabetes Association standards of care is recognizing CGM as level A evidence for those receiving basal insulin without mealtime insulin.There are four CGMs on the market, but most of the market uses the Dexcom G6 or the Libre 2. Both of these devices will be updated within the next few months to newer generation sensors.

The next generation Libre will be continuous, and “scanning” will no longer be required. For those who don’t have insurance coverage, the Libre will continue to be more affordable than the Dexcom. Alerts will be present on both, but the Dexcom G7 will be approved for both the arm and the abdomen. The Dexcom also can communicate with several automated insulin delivery systems and data can be shared real-time with family members.

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